Eddy M Gana Jr, LCSW is a
Social Worker - Clinical based in Los Angeles, California. Eddy M Gana Jr is licensed to practice in California (license number 103797) and his current practice location is
515 Columbia Ave # 200, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(213) 249-9388.
NPI number for Eddy M Gana Jr is 1104475128 and his current mailing address is 515 Columbia Ave # 200, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104475128.
Healthcare Provider's Profile
| Full Name | Eddy M Gana Jr |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 515 Columbia Ave # 200, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104475128
- Provider Enumeration Date: 09/11/2019
- Last Update Date: 04/11/2023
Medical Identifiers
Medical identifiers for Eddy M Gana Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104475128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 83088 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 103797 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 103797 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eddy M Gana Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eddy M Gana Jr, LCSW
515 Columbia Ave # 200,
Los Angeles, CA 90017-1209
Ph: (213) 249-9388 | Eddy M Gana Jr, LCSW
515 Columbia Ave # 200,
Los Angeles, CA 90017-1209
Ph: (213) 249-9388 |
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